JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Please share with me what you care about:
Thank you for taking the time to fill out this brief survey. Local government makes decisions that effect your life every day and in order for me to be a stronger voice for you, it's important to know what's on your mind. Please fill this out only if you live, work, or own a business in Summit, NJ.
*Please note - this survey was designed for the sole purpose of Lisa Allen for Summit Council to learn more about what residents believe are quality of life issues for Summit. This is not an official City of Summit document.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Do you live in Summit, NJ
*
Yes
No
If you do not live in Summit, do you own or work at a business located in downtown Summit?
*
Yes
No
Please indicate which business you own or work for?
Your answer
Full Name
*
Your answer
Street you live (or work) on
*
Your answer
Phone Number (optional)
Your answer
Email Address (optional)
Your answer
Are you from Summit? And if so, what do you love most about living here?
Your answer
If you did not grow up in Summit, what attracted you to move to here (I.e. small town, open skies, parks, walk to town, walk to schools, close proximity to the city, neighborhoods, safe environment to raise children, etc)
Your answer
Please check the issues that matter most to you:
Safety (walking around town, security of our homes and schools, kids out by themselves, etc)
Traffic (traveling easily around)
Noise Pollution
Commuting to NYC (reliable public transportation)
Vibrant downtown (full store fronts, visitors from in and outside of Summit)
Over Development
Under Development
Lack of Parking
Green Space (parks, etc)
If you would like to expand on the issues and why they are important, please explain below:
Your answer
If there are any other quality of life issues not listed above, please add below:
Your answer
Please list any other information you would like me to know?
Your answer
Would you like me to stay in touch?
Yes! Sign me up for your newsletter (add your email above)
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms